Gari Abdulrahim
Dr. Abdulrahim Gari, MD, FRCPC. Assistant Professor, Department Of Obstetrics and Gynaecology, College of Medicine, Umm Al-Qura University, Makkah, and King Faisal Specialist Hospital & Research Centre, Jeddah, Saudi Arabia.
Pak J Med Sci. 2017 Jan-Feb;33(1):236-240. doi: 10.12669/pjms.331.11867.
To evaluate the surgical feasibility and the long-term anatomical and functional results and complication rates in patients with Mullerian aplasia who underwent vaginal reconstruction.
A retrospective observational case series study over 8 years was conducted in King Faisal Specialist Hospital & Research Centre - Jeddah, Saudi Arabia. All cases diagnosed as Mullerian aplasia and who underwent surgical correction were included. Painless and satisfactory vaginal intercourse after surgery were the main outcome measured.
A total of 19 patients were diagnosed with Mullerian agenesis and underwent vaginal reconstruction by Mclndoe technique with minor modification. All of our patients who were sexually active and were compliant with mold use postoperatively were able to achieve 100% painless and satisfactory sexual intercourse.
Minor modification in McIndoe technique provides easier, safer and deeper dissection that minimizes the complications and helps in maximizing the vaginal length. It provides satisfactory and functional vagina in the majority of the patients.
评估接受阴道重建术的苗勒氏管发育不全患者的手术可行性、长期解剖和功能结果以及并发症发生率。
在沙特阿拉伯吉达的法赫德国王专科医院及研究中心进行了一项为期8年的回顾性观察病例系列研究。纳入所有诊断为苗勒氏管发育不全并接受手术矫正的病例。术后无痛且满意的阴道性交是主要测量结果。
共有19例患者被诊断为苗勒氏管发育不全，并采用改良的麦克因多技术进行了阴道重建。所有术后有性生活且依从使用模具的患者均能实现100%无痛且满意的性交。
对麦克因多技术进行的微小改良提供了更简便、更安全且更深层次的解剖，将并发症降至最低，并有助于最大化阴道长度。它在大多数患者中提供了满意且功能良好的阴道。
